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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 3 of s) <br /> Monitoring DeviceUsed Device Model# Monitoring Device Used Device Model# <br /> VENT/TRANSITION SUMP ID: Diesel Transition Sump#t VENT I TRANSITION SUMP ID: Diesel Transition Sump#2 <br /> [9 Sump Sensor 794380-208 p Sump Sensor 794380-208 <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC Io: 19M UDC ID: 19S <br /> p Electronic Sensor 794380-208 Z Electronic Sensor 794380-208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 20M UDC ID: 20S <br /> ❑x Electronic Sensor 794380-208 Z Electronic Sensor 794380-208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 21 M UDC ID: 21S <br /> x❑Electronic Sensor 794380-208 ❑x Electronic Sensor 794380-208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 22M UDC ID: 22S <br /> Z Electronic Sensor 794380-208 21 Electronic Sensor 794380-208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> Other Monitored Component ID: Diesel Transition Sump#3 Other Monitored Component ID: Transition Sump 1 <br /> Z Other(Specify in section Vll.) 794380-208 x❑Other(Specify in section VII.) 794380-208 <br /> Other Monitored Component ID: Transition Sump 2 Other Monitored Component ID: Bio-Shed <br /> Z Other(Specify in section Vll) 794380-208 Z Other(Specify in section Vll.) 794380-208 <br /> Other Monitored Component ID: BIO-TraflSlttorl Surnp Other Monitored Component ID: <br /> ❑x Other(Specify in section Vll.) 794380-208 ❑Other(Specify in section VII.) <br /> Include information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring system <br /> control panel monitors more components than this form accommodates,additional copies of these pages may be attached. <br /> VII. COMMENTS <br /> Use this section to provide additional comments about the inventory of the equipment certified. <br /> ID=Identification,VPH=VacuumPressure'Hydrostafic,UDC=Under-Dispenser Containment <br />